Nurses’ Competency in Facilitating Advance Care Planning
Keywords:
Nurses’ competency, Advance care planning, Chronic illness, Medical unitAbstract
Advance care planning (ACP) is the process of ongoing discussions focused on identifying and articulating patient’s value as a significant aspect of palliative care. Policy regarding facilitation of ACP has been implemented in Thailand for a while. However, little is known about ACP implementation among nurses. This descriptive study aimed to examine nurses’ competency levels in facilitating ACP among patients with advanced chronic illness. The sample consisted of 246 nurses working in general or private medical wards. Instruments used for collecting data included: 1) a demographic data form, and 2) the Nurses’ Competency in Facilitating Advance Care Planning Questionnaire (NCACP-Q). The NCACP-Q was developed from a conceptual framework of nurse practitioner compe- tencies for ACP and a literature review. It was validated by five experts, achieving a CVI of .94. Cronbach’s alpha coefficient was used to test reliability, yielding a value of .92. The data were analyzed using descriptive statistics.
The results showed that nurses’ competency in facilitating advance care planning was at a moderate level (M = 261.35, SD = 31.51). When classified by component, it was found that consultation and collaboration, and therapeutic management were at a high level (M = 28.47, SD = 4.28; M = 87.42, SD = 10.95, respectively), while clinical practice and advocacy were at a moderate level (M = 122.03, SD = 15.59; M = 23.43, SD = 3.82, respectively).
The results of this study may be useful for administrative personnel in the healthcare and education sectors in creating training courses to enhance nurse’s competency in facilitating ACP among patients with advanced chronic illness.
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